Healthcare Provider Details

I. General information

NPI: 1225301971
Provider Name (Legal Business Name): ROMIL RASIK PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ROMILKUMAR RASIKLAL PATEL MD

II. Dates (important events)

Enumeration Date: 02/10/2012
Last Update Date: 06/15/2021
Certification Date: 06/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2006 LIMESTONE ROAD SUITE 7
WILMINGTON DE
19808
US

IV. Provider business mailing address

1021 GILPIN AVE STE 203
WILMINGTON DE
19806-3272
US

V. Phone/Fax

Practice location:
  • Phone: 302-355-2383
  • Fax: 302-351-6261
Mailing address:
  • Phone: 302-722-8800
  • Fax: 302-722-8784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberC1-0010995
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberC1-0010995
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: